PLATELETPHERESIS

Synonym

Single Donor Platelets - Apheresis Platelets

Includes

ABO and Rh type

Specimen Collection Requirements

Patient Preparation

Preinfusion platelet count usually indicated. Patient should have patient identification wristband for checking against component container label before administration. See SHS Blood Administration Policy.

Testing Information

Reported

Allow a minimum of 1 hour for routine products. One to 3 days may be required for special requests, such as HLA matched products.

Referral Lab

Samaritan Health Services Laboratories

Blood Product

Description

Contains at least 3x1011 platelets in 200-400 mL plasma. Also contains hemostatic levels of coagulation factors. May contain trace to 2 mL RBCs, 0.3 to 6x109 WBC.

Patient Preparation

Preinfusion platelet count usually indicated. Patient should have patient identification wristband for checking against component container label before administration. See SHS Blood Administration Policy.

Availability

May not be immediately available at all sites.

Storage

Room Temperature with agitation

Expiration

3-5 days depending on storage bag

Reported

Allow a minimum of 1 hour for routine products. One to 3 days may be required for special requests, such as HLA matched products.

Comment

One platelet pheresis is equivilant to 6-8 random donor platelets. The majority is available as a leukoreduced product containing <5 X 106 WBC. ABO compatibilty is desirable, but not required. Rh compatibility desirable in women of potential childbearing age. Crossmatch not necessary.

Use

When HLA-matched or crossmatch-compatible donors are needed for refractory patients; may help to reduce donor exposures. Bleeding related to thrombocytopenia or platelet dysfunction. See Transfusion Guidelines and Audit Criteria Adults, Infants Less Than Four Months Old or Pediatric Patients Greater Than or Equal to Four Months Old. Product is prestorage leukoreduced and may be utilized when a CMV reduced risk product is warranted.

Dosage

1 unit is the usual hemostatic dose in adults, with a usual platelet increment of 20-30,000/unit. Pediatric dose is approximately 10 mL/kg

Administration

Infuse 5 mL/minute or as patient tolerates. Do not warm.

Last Updated: Thursday, January 5, 2017 03:42:22 AM